Immaculate Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305205493 Issued in VA

Legal business name

IMMACULATE PHYSICAL THERAPY PC

Practice address

117 Casmar St SE
Vienna, VA 22180-6610

Phone

(703) 309-7028

Fax

(800) 928-5061

NPI assigned

Apr 21, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Dalia M Elashker, PHYSICAL THERAPIST

Title

Director

Phone

(703) 309-7028

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adel S Hassan, PT, DPT

  • Physical Therapist
  • Vienna, VA
  • NPI 1932236718
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271808000000",
    "number": "1013234657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 CASMAR ST SE",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221806610",
            "telephone_number": "703-309-7028",
            "fax_number": "800-928-5061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 CASMAR ST SE",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221806610",
            "telephone_number": "703-309-7028",
            "fax_number": "800-928-5061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMACULATE PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-21",
        "last_updated": "2010-04-21",
        "status": "A",
        "authorized_official_last_name": "ELASHKER",
        "authorized_official_first_name": "DALIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "703-309-7028",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305205493",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305204191",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marwa Magdy Ibrahim, MSW
• Ideal Body Wellness
• Areej Iftaiha, PSYD.
• Joanne Jungsun Im, PH.D, LAC.
• Marie Michelle Imad
• Impeccable Health & It Solutions
• Implant & Dental Art, PLLC
• Swetha Inducuri
• Virginia Elizabith Inglese, LCSW, RDN
• Bethany Ingram, M.D.

• Physical Therapist in Vienna, VA
• Providers in Vienna, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.